骨性Ⅲ类错[牙合]畸形上颌骨前牵引方法及辅助扩弓的研究进展  

Research progress on maxillary protraction methods and auxiliary maxillary expansion for skeletal ClassⅢmalocclusion

作　　者：张世珍 赖文莉[2] Zhang Shizhen;Lai Wenli(State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&West China School of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Orthodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医学院,成都610041 [2]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正畸科,成都610041

出　　处：《国际口腔医学杂志》2021年第3期354-361,共8页International Journal of Stomatology

基　　金：国家自然科学基金(82071147)。

摘　　要：上颌骨前牵引是早期矫治上颌发育不足行之有效的方法。微种植支抗的应用增强了上颌骨前牵引的骨性效应,提高了早期矫治的稳定性。上颌扩弓有激活或打开上颌骨缝的作用,在上颌骨前牵引中配合扩弓能否增强牵引的临床效果已经引起临床医生的广泛关注。本文将对骨性Ⅲ类错[牙合]畸形早期矫治的取舍、不同前牵引方法的有效性及上颌扩弓对前牵引矫治的影响等方面作一综述,以便为该技术的临床应用提供参考。Maxillary protraction is an effective method for the early treatment of maxillary deficiency.The application of mini-implant anchorage enhances the bone effect of maxillary protraction and improves the stability of early correction.Maxillary expansion activates or opens maxillary sutures,and whether or not the auxiliary maxillary expansion enhances maxillary protraction has attracted the attention of clinicians.To provide reference for the clinical application of this technique,this article reviews the selection of early treatment for skeletal ClassⅢmalocclusion,the effectiveness of alternative protraction methods,and the influence of maxillary arch expansion on maxillary protraction.

关 键 词：骨性Ⅲ类错[牙合]畸形 上颌前牵引 骨性支抗 上颌扩弓 

分 类 号：R783.5[医药卫生—口腔医学]